Provider Demographics
NPI: | 1033156591 |
---|---|
Name: | SINGH, BIKRAMJIT (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | BIKRAMJIT |
Middle Name: | |
Last Name: | SINGH |
Suffix: | |
Gender: | M |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 428 |
Mailing Address - Street 2: | |
Mailing Address - City: | CARTERET |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 07008-0428 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 732-541-6521 |
Mailing Address - Fax: | 732-541-0060 |
Practice Address - Street 1: | 125 WASHINGTON AVE |
Practice Address - Street 2: | |
Practice Address - City: | CARTERET |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 07008-2635 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-541-6521 |
Practice Address - Fax: | 732-541-0060 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2006-06-01 |
Last Update Date: | 2018-10-01 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | MA666595 | 207RN0300X |
NJ | MA066595 | 207R00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
No | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | Group - Multi-Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NJ | 7956401 | Medicaid | |
NJ | 7956401 | Medicaid |